{"reporting_entity_name":"Molina-Healthcare-of-Washington","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-10","version":"2.0.0","provider_references":[{"provider_group_id":210047,"network_name":["WA Network"],"provider_groups":[{"npi":[1073674792,1124466891,1225476997,1336451657,1336665850,1356126841,1356876726,1366956153,1437213089,1447679402,1538940028,1619031234,1649618182,1659719193,1669810107,1669810339,1689255978,1710502158,1821152471,1821158692,1871657437],"tin":{"type":"ein","value":"820277763","business_name":"NORCO INC_1336451657"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4145F","description":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4145F","description":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.441,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.441,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.057,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6955","description":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12088.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6955","description":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12088.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6950","description":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10685.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6950","description":"ABOVE ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10685.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5200","description":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4122.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5200","description":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4122.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5321","description":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4380.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5321","description":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4380.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5230","description":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4978.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5230","description":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4978.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5220","description":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3722.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5220","description":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3722.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5210","description":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3274.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5210","description":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3274.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6250","description":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3343.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6250","description":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3343.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6500","description":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3597.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6500","description":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3597.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2599","description":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.394,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1085","description":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1085","description":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1025","description":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1025","description":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1100","description":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1100","description":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1110","description":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1110","description":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1040","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1040","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1030","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1030","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1070","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1070","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5966","description":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5966","description":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5840","description":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4085.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5840","description":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4085.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5828","description":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2858.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5828","description":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2858.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5826","description":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3223.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5826","description":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3223.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5961","description":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4910.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5961","description":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4910.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5964","description":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5964","description":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5925","description":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5925","description":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5962","description":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5962","description":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5824","description":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5824","description":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5812","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5818","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5812","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5818","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5814","description":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3690.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5814","description":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3690.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5816","description":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5816","description":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5811","description":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5811","description":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5822","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5822","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5830","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2492.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5830","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2492.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5615","description":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6872.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5615","description":"ADD ENDOSKEL KNEE-SHIN SYS 4 BAR LINK/MULTIAXIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6872.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5848","description":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5848","description":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5810","description":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5810","description":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5920","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5920","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5850","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5850","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5855","description":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5855","description":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5950","description":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5950","description":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5910","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5910","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5940","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5940","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5930","description":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3344.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5930","description":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3344.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5960","description":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5960","description":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5712","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5712","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5711","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5711","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5726","description":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5726","description":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5728","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2618.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5728","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2618.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5724","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5724","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5722","description":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5722","description":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5716","description":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5716","description":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5710","description":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5710","description":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5714","description":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5714","description":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5790","description":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5790","description":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5785","description":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5785","description":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5795","description":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5795","description":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5780","description":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5780","description":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5718","description":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5718","description":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0859","description":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0859","description":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0861","description":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0861","description":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2425","description":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2425","description":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2430","description":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2430","description":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2415","description":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2415","description":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5648","description":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5648","description":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5631","description":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5631","description":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5646","description":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5646","description":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT CSTM MOLD/PRFAB FOR USE W/LOCK MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5673","description":"ADD LOW EXT CSTM MOLD/PRFAB FOR USE W/LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5614","description":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1676.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5614","description":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1676.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2330","description":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2330","description":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2320","description":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2320","description":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2800","description":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2800","description":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2232","description":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2232","description":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2755","description":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2755","description":"ADD LOW EXT ORTHOSIS HYBRID COMPOS PER SEG CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0672","description":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0672","description":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5859","description":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19230.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5859","description":"ADD LOW EXT PROS KN-SHIN PROG FLX/EXT ANY MOTOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19230.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5856","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30025.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5856","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING AND STANCE PHSE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30025.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5857","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8463.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5857","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8463.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5650","description":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5650","description":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5696","description":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5696","description":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5694","description":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5694","description":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5692","description":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5692","description":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5697","description":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5697","description":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5670","description":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5670","description":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5680","description":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5680","description":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5690","description":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5690","description":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5677","description":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5677","description":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2188","description":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2188","description":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2250","description":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2250","description":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2182","description":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2182","description":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2184","description":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2184","description":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5653","description":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5653","description":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2395","description":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2395","description":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2850","description":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2850","description":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2795","description":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2795","description":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2810","description":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2810","description":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2780","description":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2780","description":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2750","description":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2750","description":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2840","description":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2840","description":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2650","description":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2650","description":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2620","description":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2620","description":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2630","description":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2630","description":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2340","description":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2340","description":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5990","description":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1802.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5990","description":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1802.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2350","description":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2350","description":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2240","description":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2240","description":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5661","description":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5661","description":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2385","description":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2385","description":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5652","description":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5652","description":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5630","description":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5630","description":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5634","description":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5634","description":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5632","description":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5632","description":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2540","description":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2540","description":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2550","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2550","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2530","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2530","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2680","description":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2680","description":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2670","description":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2670","description":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5617","description":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5617","description":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5695","description":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5695","description":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5616","description":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5616","description":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5613","description":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5613","description":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2622","description":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2622","description":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5665","description":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5665","description":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5698","description":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5698","description":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5672","description":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5672","description":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5676","description":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5676","description":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5688","description":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5688","description":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5671","description":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5671","description":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5651","description":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5651","description":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5645","description":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5645","description":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5681","description":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5681","description":"ADD LW EXT BK/AK CST INS CNG/ATYP TRAUM AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BK/AK CSTM MOLD/PRFAB NOT W/LOCK MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5679","description":"ADD LW EXT BK/AK CSTM MOLD/PRFAB NOT W/LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2186","description":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2186","description":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5643","description":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5643","description":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5649","description":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2036.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5649","description":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2036.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2192","description":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2192","description":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2830","description":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2830","description":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2570","description":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2570","description":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2600","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2600","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2610","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2610","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2628","description":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2122.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2628","description":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2122.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2627","description":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2627","description":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2387","description":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2387","description":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5858","description":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23245.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5858","description":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23245.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2375","description":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2375","description":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2380","description":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2380","description":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.064,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.035,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5683","description":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5683","description":"ADD LW EXTR BK/AK CST FAB NO CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5682","description":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5682","description":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2220","description":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2220","description":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5611","description":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1785.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5611","description":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1785.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5610","description":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2688.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5610","description":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2688.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2180","description":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2180","description":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2526","description":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2526","description":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2525","description":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2525","description":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2624","description":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2624","description":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2230","description":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2230","description":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2500","description":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2500","description":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2520","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2520","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2510","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2510","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2275","description":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2275","description":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5782","description":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4191.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5782","description":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4191.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5781","description":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3975.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5781","description":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3975.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5968","description":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3610.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5968","description":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3610.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5988","description":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5988","description":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5679","description":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5679","description":"ADD LWR EXT BK/AK CUST FAB NOT FOR USE LKG MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5673","description":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5673","description":"ADD LWR EXT BK/AK CUSTOM FAB FOR USE W/LKG MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5926","description":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5926","description":"ADD TO LE PROSTH ENDOSKEL KD AK HD ROT U ANY TYP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6694","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6694","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.999,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6695","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6695","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6696","description":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6696","description":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6697","description":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6697","description":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6698","description":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7402","description":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7402","description":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6895","description":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6895","description":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6890","description":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6890","description":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7404","description":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7404","description":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7401","description":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7401","description":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7403","description":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7403","description":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7400","description":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7400","description":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7405","description":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7405","description":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6611","description":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6611","description":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3995","description":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3995","description":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1120","description":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1120","description":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1010","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1010","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1020","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1020","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1090","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1090","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1060","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1060","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2300","description":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2300","description":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5678","description":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5678","description":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5668","description":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5668","description":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2190","description":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2190","description":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2785","description":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2785","description":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2760","description":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2760","description":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2640","description":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2640","description":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5636","description":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5636","description":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5642","description":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5642","description":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5629","description":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5629","description":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5666","description":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5666","description":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5638","description":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5638","description":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5647","description":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5647","description":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2210","description":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2210","description":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5640","description":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5640","description":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2390","description":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2390","description":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2397","description":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2397","description":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2580","description":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2580","description":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2260","description":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2260","description":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5658","description":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5658","description":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5655","description":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5655","description":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5656","description":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5656","description":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5628","description":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5628","description":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5626","description":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5626","description":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5622","description":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5622","description":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2660","description":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2660","description":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2310","description":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2310","description":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5644","description":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5644","description":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5686","description":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5686","description":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5684","description":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5684","description":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5637","description":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5637","description":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5639","description":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5639","description":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2200","description":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2200","description":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5624","description":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5624","description":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5620","description":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5620","description":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6810","description":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6810","description":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1260","description":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1260","description":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1080","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1080","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1050","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1050","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT DROP LOCK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2405","description":"ADDITION TO KNEE JOINT DROP LOCK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT DROP LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2405","description":"ADDITION TO KNEE JOINT DROP LOCK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2492","description":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2492","description":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2335","description":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2335","description":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2360","description":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2360","description":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2265","description":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2265","description":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2280","description":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2280","description":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2370","description":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2370","description":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5654","description":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5654","description":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5618","description":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5618","description":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1220","description":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1220","description":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1210","description":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1210","description":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1290","description":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1290","description":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1270","description":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1270","description":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1250","description":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1250","description":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1280","description":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1280","description":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LUMBAR DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1240","description":"ADDITION TO TLSO LUMBAR DEROTATION PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LUMBAR DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1240","description":"ADDITION TO TLSO LUMBAR DEROTATION PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1230","description":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1230","description":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6698","description":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6698","description":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE ANGLE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0040","description":"ADJUSTABLE ANGLE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE ANGLE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0040","description":"ADJUSTABLE ANGLE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9  LT 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP  GT 7 D","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1123F","description":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1123F","description":"ADV CARE PLN TLKD  AND  ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1980","description":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1980","description":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1990","description":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1990","description":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.813,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2112","description":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2112","description":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2108","description":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2108","description":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2106","description":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2106","description":"AFO FX ORTHOSIS TIB FX CAST THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1945","description":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1945","description":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1970","description":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1970","description":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1910","description":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1910","description":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1960","description":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1960","description":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RIGD ANT TIBL TOT CARB FIBER/EQUL MATL PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1932","description":"AFO RIGD ANT TIBL TOT CARB FIBER/EQUL MATL PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1920","description":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1920","description":"AFO SINGLE UPRT W/STATIC/ADJUSTBL STOP CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1900","description":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1900","description":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2116","description":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2116","description":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2114","description":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2114","description":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1517.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1517.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS  Equal to  II / III","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3300F","description":"AJCC STAGE DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3300F","description":"AJCC STAGE DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BC DX  Equal to  I  and  T-STG DOES NOT  Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BC DX  Equal to  I  and  T-STG DOES NOT  Equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT  PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL  and / RX SCR; LAB ANALY PRESENC ALCOHL  and / RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0003","description":"ALCOHL  and / RX SCR; LAB ANALY PRESENC ALCOHL  and / RX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SERVICES; MEDICAL/SOMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0016","description":"ALCOHOL AND/OR DRUG SERVICES; MEDICAL/SOMATIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4245","description":"ALCOHOL WIPES PER BOX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4245","description":"ALCOHOL WIPES PER BOX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6196","description":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6196","description":"ALGINAT/OTH FIBER GELL DRESS STERIL PAD 16 SQ OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5984","description":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5984","description":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5985","description":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5985","description":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5982","description":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5982","description":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5970","description":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5970","description":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5986","description":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5986","description":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5971","description":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5971","description":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5981","description":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3315.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5981","description":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3315.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5978","description":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5978","description":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5974","description":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5974","description":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5976","description":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5976","description":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5980","description":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4103.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5980","description":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4103.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5972","description":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5972","description":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5699","description":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5699","description":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5975","description":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5975","description":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5979","description":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3050.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5979","description":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3050.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20930","description":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0780","description":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0780","description":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.022,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99116","description":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99135","description":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1002F","description":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1002F","description":"ANGINAL SYMPTOMS  AND  LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS SPIRAL PLSTC/OTH MATL PRFAB W/FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1951","description":"ANK FT ORTHOS SPIRAL PLSTC/OTH MATL PRFAB W/FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1940","description":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1940","description":"ANK FT ORTHOSIS PLASTIC/OTH MATERIAL CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOSIS PLSTC/OTH MATL W/ANK JNT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1971","description":"ANK FT ORTHOSIS PLSTC/OTH MATL W/ANK JNT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5060","description":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3620.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5060","description":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3620.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4350","description":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4350","description":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1932","description":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1932","description":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1971","description":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1971","description":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1930","description":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1930","description":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1950","description":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1950","description":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1951","description":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1951","description":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1902","description":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1902","description":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1904","description":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1904","description":"ANKLE ORTH ANKLE GAUNTLET/SIMILAR CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.743,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1907","description":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1907","description":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5703","description":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5703","description":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLDED SOCKET SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5050","description":"ANKLE SYMES MOLDED SOCKET SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2728.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLDED SOCKET SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5050","description":"ANKLE SYMES MOLDED SOCKET SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2728.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0612","description":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8696","description":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8696","description":"ANTENNA FOR USE W/IMPL DIA/PN ST DEV REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.084,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER  AND  NOT PRESCRIBE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.85,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY FASTING/DIR LDL-C LAB TEST RSLT  LT or equal to  190 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY FASTING/DIR LDL-C LAB TEST RSLT  LT or equal to  190 M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT  GT or equal to  190 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT  CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8948","description":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97010","description":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM PAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0019","description":"ARM PAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM PAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0019","description":"ARM PAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2209","description":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2209","description":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0994","description":"ARMREST EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0994","description":"ARMREST EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL LARYNX ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8500","description":"ARTIFICIAL LARYNX ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL LARYNX ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8500","description":"ARTIFICIAL LARYNX ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR  GT or equal to  35.5 DEG C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BODY TEMPERATURE MSR  GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BODY TEMPERATURE MSR  GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9773","description":"AT LEAST 1 BT MSR  GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR  GT or equal to 35.5 DEGC NOT ACHV ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR  GT or equal to 35.5 DEGC NOT ACHV ANES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8691","description":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2153.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8691","description":"AUD OI DEVC EXT SP EXCL TRNSDUCR/ACTUATR REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2153.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8694","description":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8694","description":"AUD OSSEOINTEG DEVC TRANSDUCER/ACTR REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8693","description":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1896.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8693","description":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1896.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8692","description":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2207.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8692","description":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2207.018,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2795.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3189.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3870.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2795.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3189.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3870.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20936","description":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6881","description":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4062.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6881","description":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4062.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY CRUTCH EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0978","description":"AXILLARY CRUTCH EXTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY CRUTCH EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0978","description":"AXILLARY CRUTCH EXTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.931,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide per pint","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"Alcohol or peroxide per pint","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol wipes per box","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4245","description":"Alcohol wipes per box","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0495","description":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5413.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0495","description":"BATT CHRGR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5413.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0497","description":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0497","description":"BATT CLPS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER 12 VOLT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7366","description":"BATTERY CHARGER 12 VOLT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER 12 VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7366","description":"BATTERY CHARGER 12 VOLT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER SIX VOLT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7362","description":"BATTERY CHARGER SIX VOLT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER SIX VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7362","description":"BATTERY CHARGER SIX VOLT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0503","description":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1685.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0503","description":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1685.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0506","description":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0506","description":"BATTERY LITHIUM-ION ELEC/PNEUMATIC VAD REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0496","description":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1943.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0496","description":"BATTERY NOT LITHIUM-ION ELEC/PNEUMAT VAD REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1943.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6400","description":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2620.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6400","description":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2620.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED CRADLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0280","description":"BED CRADLE ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED CRADLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0280","description":"BED CRADLE ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5102","description":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5102","description":"BEDSID DRAIN BOTTLE W/WO TUBING RIGD/XPNDABLE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS FULL-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0310","description":"BEDSIDE RAILS FULL-LENGTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS FULL-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0310","description":"BEDSIDE RAILS FULL-LENGTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH CNSL AND THERAPY PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0004","description":"BEHAVIORAL HEALTH CNSL AND THERAPY PER 15 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH CNSL AND THERAPY PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0004","description":"BEHAVIORAL HEALTH CNSL AND THERAPY PER 15 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH OUTREACH SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0023","description":"BEHAVIORAL HEALTH OUTREACH SERVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH OUTREACH SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0023","description":"BEHAVIORAL HEALTH OUTREACH SERVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW MOLDED SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6110","description":"BELOW ELBOW MOLDED SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW MOLDED SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6110","description":"BELOW ELBOW MOLDED SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6935","description":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9030.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6935","description":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9030.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6930","description":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8545.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6930","description":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8545.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5301","description":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2835.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5301","description":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2835.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5100","description":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2827.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5100","description":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2827.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5105","description":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3991.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5105","description":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3991.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0499","description":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0499","description":"BELT/VEST/BAG CARRY ANY TYPE VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6120","description":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3035.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6120","description":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3035.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6100","description":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2366.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6100","description":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2366.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6130","description":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3493.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6130","description":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3493.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER TX LVEF  LT 40 PCT  NOT PRSCR RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKER TX LVEF  LT 40 PCT  NOT PRSCR RSN DOC CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT  NOT PRESCR RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1130F","description":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1130F","description":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2101","description":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2101","description":"BLD GLU MONITOR W/INTEGRATED LANCING/BLD SAMPLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2100","description":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2100","description":"BLD GLU MONITOR W/INTEGRATED VOICE SYNTHESIZER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.321,"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":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.321,"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":"BLD PRESS RCD DUR INPT S ER V UC V  AND  PT SR BP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT S ER V UC V  AND  PT SR BP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD KETONE TEST OR REAGENT STRIP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4252","description":"BLOOD KETONE TEST OR REAGENT STRIP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM  and  F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8418","description":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8418","description":"BMI DOC BLW NML PARAM  and  A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM  and  NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE  LT  140 DIASTOLIC VALUE  LT  90","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9187","description":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9187","description":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0159","description":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0159","description":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8002","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8002","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8001","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8001","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8000","description":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8000","description":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8030","description":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8030","description":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS MASTECTOMY FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8020","description":"BREAST PROSTHESIS MASTECTOMY FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS MASTECTOMY FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8020","description":"BREAST PROSTHESIS MASTECTOMY FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP MANUAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0602","description":"BREAST PUMP MANUAL ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP MANUAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0602","description":"BREAST PUMP MANUAL ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.02,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0051","description":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0051","description":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0100","description":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0100","description":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0105","description":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0105","description":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASTER PIN LOCK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0073","description":"CASTER PIN LOCK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASTER PIN LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0073","description":"CASTER PIN LOCK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER BALLOON DILATATION NON-VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1726","description":"CATHETER BALLOON DILATATION NON-VASCULAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3496F","description":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3496F","description":"CD4 Plus  CELL COUNT  Equal to  GT  500 CELLS/MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3494F","description":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3494F","description":"CD4 Plus  CELL COUNT  LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3495F","description":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3495F","description":"CD4 Plus  CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3498F","description":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3498F","description":"CD4 Plus  CELL PERCENTAGE  GT or equal to  15 PCT  HIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3497F","description":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3497F","description":"CD4 Plus  CELL PERCENTAGE  LT 15 PCT  HIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL  PCT  DOCD AS DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0130","description":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0130","description":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0180","description":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0180","description":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0200","description":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0200","description":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0190","description":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0190","description":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0170","description":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0170","description":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0174","description":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0174","description":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0172","description":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0172","description":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL HEAD HARNESS/HALTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0942","description":"CERVICAL HEAD HARNESS/HALTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL HEAD HARNESS/HALTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0942","description":"CERVICAL HEAD HARNESS/HALTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0140","description":"CERVICAL SEMI-RIGID ADJUSTABLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0140","description":"CERVICAL SEMI-RIGID ADJUSTABLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0150","description":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0150","description":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0160","description":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0160","description":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9436","description":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1015","description":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6207","description":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6207","description":"CNTC LAYER  GT  16 SQ BUT  LT EQUAL 48 SQ EA DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8614","description":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23934.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8614","description":"COCHLEAR DEVICE INCLUDES ALL INT AND EXT COMPONENTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23934.251,"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":null,"billing_code":"L8627","description":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8667.45,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8667.45,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10274.814,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10274.814,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.32,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6011","description":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6011","description":"COLLEGEN BASED WOUND FILLR GEL/PASTE STERL PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0285","description":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1690","description":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1917.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1690","description":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1917.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3025.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3025.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2015","description":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6204","description":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6204","description":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6203","description":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6203","description":"COMPOS DRESS STERL PAD 16 SQ OR LT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0936","description":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0936","description":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0935","description":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0935","description":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.339,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0113","description":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0113","description":"CRANIAL CERVL ORTHOSIS TORTICOLLIS TYPE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0112","description":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0112","description":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0111","description":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0111","description":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0116","description":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0116","description":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0113","description":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210047],"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":32.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0113","description":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210047],"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":32.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0112","description":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0112","description":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0110","description":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.251,"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":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0110","description":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.251,"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":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":68.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":68.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0157","description":"CRUTCH ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0157","description":"CRUTCH ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0118","description":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[210047],"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":296.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[210047],"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":296.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2617","description":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0710","description":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0710","description":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0700","description":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1920.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0700","description":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1920.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1000","description":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2310.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1000","description":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2310.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8923","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8934","description":"CURR/PRI LVEF  LT or equal to  40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT CIGARETTE SMOKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT CIGARETTE SMOKERS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2609","description":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5705","description":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5705","description":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE AK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5704","description":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5704","description":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE BK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5707","description":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1427.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5707","description":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1427.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5706","description":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5706","description":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0017","description":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0017","description":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0760T","description":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0761T","description":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0752T","description":"DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0753T","description":"DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0763T","description":"DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0762T","description":"DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.409,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.854,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.854,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.314,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.314,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5514","description":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5514","description":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.209,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.696,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABLE ENDOSCOPE SHEATH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4270","description":"DISPOSABLE ENDOSCOPE SHEATH EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR  GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT  GT or equal to  TO 86 YOA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR  Equal to TO OR GT  35.5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR  Equal to TO OR GT  35.5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR  GT or equal to  35.5 DC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT  AND  STM THK ULCER  AND  MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1028","description":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1028","description":"DOC PT PRIM HA DX  and  IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8969","description":"DOC PT RSN NOT PRSCR  ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9242","description":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9242","description":"DOC VIRAL LOAD  GT or equal to  200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED  and  PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED  AND  RESULTS INTERPRET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM  AND  VITAMIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER  AND  LENS POWER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 2 HRS NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF  GT 2 HRS NO REASON GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0098","description":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0098","description":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0480","description":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109999.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0480","description":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109999.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80329","description":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80324","description":"DRUG SCREEN QUANT AMPHETAMINES 1 OR 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80348","description":"DRUG SCREENING BUPRENORPHINE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHYLPHENIDATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80360","description":"DRUG SCREENING METHYLPHENIDATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0018","description":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0018","description":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1399","description":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4256F","description":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4256F","description":"DURATION GEN NEUR ANESTH  LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.428,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.428,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.757,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION NOT PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6205","description":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6205","description":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6200","description":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3585.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6200","description":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3585.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11335.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11335.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6450","description":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3557.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6450","description":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3557.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6940","description":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10230.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6940","description":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10230.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3761","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3761","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3710","description":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3710","description":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3762","description":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3762","description":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3702","description":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3702","description":"ELBOW ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE  and  F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7190","description":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8064.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7190","description":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8064.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7185","description":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6491.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7185","description":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6491.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7186","description":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8952.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7186","description":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8952.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7191","description":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9355.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7191","description":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9355.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7180","description":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37081.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7180","description":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37081.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7181","description":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39811.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7181","description":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB AND TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39811.783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7045","description":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7045","description":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7008","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6115.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7008","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6115.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7007","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3531.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7007","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3531.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7009","description":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3818.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7009","description":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3818.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7170","description":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6180.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7170","description":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6180.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8950","description":"ELEVATED HTN BP READING DOC  and  INDICATED F/U DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING FOOTRESTS ARTICULATING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0053","description":"ELEVATING FOOTRESTS ARTICULATING EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING FOOTRESTS ARTICULATING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0053","description":"ELEVATING FOOTRESTS ARTICULATING EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0046","description":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0046","description":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0047","description":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0047","description":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT  MEDS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0491","description":"EMERG POWER SRC FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0493","description":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0493","description":"EMERG PWR CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY HAND PUMP REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0494","description":"EMERGENCY HAND PUMP REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY HAND PUMP REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0494","description":"EMERGENCY HAND PUMP REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.124,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0490","description":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0490","description":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0492","description":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0492","description":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCOPY BX  and  RSLT NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCOPY BX  and  RSLT NOT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX  and  RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.738,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90882","description":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3740","description":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3740","description":"EO DBL UPRT W/CUFF ADJ LOCK W/ACTV CNTRL CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3730","description":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3730","description":"EO DBL UPRT W/CUFF EXT/FLX ASST CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3720","description":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3720","description":"EO DBL UPRT W/FORARM/ARM CUFF FREE MOT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1137F","description":"EPISODE BACK PAIN LASTING  GT 12 WKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1137F","description":"EPISODE BACK PAIN LASTING  GT 12 WKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1135F","description":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1135F","description":"EPISODE BACK PAIN LASTING  GT SIX WEEKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD  AND  DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.093,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3766","description":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1225.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3766","description":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1225.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3765","description":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3765","description":"EWHFO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3764","description":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3764","description":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3763","description":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3763","description":"EWHO RIGID W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8015","description":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8015","description":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARGING SYS BATT CI/AO DEVC REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8625","description":"EXT RECHARGING SYS BATT CI/AO DEVC REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RECHARGING SYS BATT CI/AO DEVC REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8625","description":"EXT RECHARGING SYS BATT CI/AO DEVC REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.203,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY BELT/HARNESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0945","description":"EXTREMITY BELT/HARNESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY BELT/HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0945","description":"EXTREMITY BELT/HARNESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD NON-STERILE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6411","description":"EYE PAD NON-STERILE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD NON-STERILE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6411","description":"EYE PAD NON-STERILE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.497,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Etoposide oral 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"Etoposide oral 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F RPT CT CT MRI/MRA CH/N/U/S N F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"F RPT CT CT MRI/MRA CH/N/U/S N F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.586,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4327","description":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4327","description":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4328","description":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4328","description":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0500","description":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0500","description":"FILTERS FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3935","description":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3935","description":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3933","description":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3933","description":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4049","description":"FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4049","description":"FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.893,"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":null,"billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.399,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0020","description":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0020","description":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[210047],"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":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[210047],"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":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTTER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8185","description":"FLUTTER DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTTER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8185","description":"FLUTTER DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC OUTCM ASMT TOOL DOC PREV 30 DA  AND  CARE PLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8942","description":"FNC OUTCM ASMT TOOL DOC PREV 30 DA  AND  CARE PLN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6210","description":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6210","description":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6211","description":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6211","description":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3140","description":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3140","description":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3150","description":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3150","description":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3030","description":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3030","description":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3031","description":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3031","description":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3170","description":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3170","description":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0175","description":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0175","description":"FOOT REST FOR USE WITH COMMODE CHAIR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0045","description":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0045","description":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0043","description":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0043","description":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0044","description":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0044","description":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0948","description":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0948","description":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0947","description":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0947","description":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0072","description":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0072","description":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0071","description":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0071","description":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0077","description":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0077","description":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3000","description":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3000","description":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3420","description":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3420","description":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP  LT 37","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP  LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP  LT 37","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP  GT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME  GT EQUAL 40 PCT  PREDICTED VALUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME  GT EQUAL 40 PCT  PREDICTED VALUE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME  GT or equal to  40 PCT  PREDICTED VA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"Face tent","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT TRAINER PED SZ UPRT SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8001","description":"GAIT TRAINER PED SZ UPRT SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9596","description":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9596","description":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7700","description":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7700","description":"GASKET/SEAL USE PROS SOCKET INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL  GT 16 SQ NO ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6228","description":"GAUZE IMPREG H2O/NL SALINE STERL  GT 16 SQ NO ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT  48 SQ NO ADHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6230","description":"GAUZE IMPREG H2O/NL SALINE STERL GT  48 SQ NO ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT  48 SQ NO ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6230","description":"GAUZE IMPREG H2O/NL SALINE STERL GT  48 SQ NO ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6229","description":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6229","description":"GAUZE IMPREG H2O/NL SALINE STERL GT 16 BUT LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6231","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6231","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6233","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6233","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL GT 48 SQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6224","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6224","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL  GT  48 SQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6220","description":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6220","description":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6221","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6221","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6404","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6404","description":"GAUZE NON-IMPREG STERL  GT  48 SQ W/O ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6025","description":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6025","description":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2611","description":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2611","description":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2612","description":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2612","description":"GEN WC BACK CUSHN WDTH 22 IN/GT HT MOUNT HARDWRE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2601","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2601","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2602","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2602","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540F","description":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6594","description":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6594","description":"GRAD CMP BDG SUP BNDG LINER LW EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6595","description":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6595","description":"GRAD CMP BDG SUP BNDG LINER UP EXT ANY SZ/LEN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6599","description":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6599","description":"GRAD COMP BDG ROLL INELAS SHT STR P/ YRD ANY W E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6602","description":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6602","description":"GRAD COMP BDG SUP HI DNS FM ROLL BDG P/Y ANY W E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6603","description":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6603","description":"GRAD COMP BDG SUP LW DENS CH FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6604","description":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6604","description":"GRAD COMP BDG SUP LW DNS FLT FM SH P/250SQ CM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6608","description":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6608","description":"GRAD COMP BDG SUP TUB PRO ABS PD LY P/YD ANY W E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6601","description":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6601","description":"GRAD COMP BDG SUPL HIGH DENS FM PAD ANY SZ/SH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6600","description":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6600","description":"GRAD COMP BDG SUPL HIGH DENS FM SHT P/250SQ CM E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6606","description":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6606","description":"GRAD COMP BDG SUPL PAD TEXTILE P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6607","description":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6607","description":"GRAD COMP BDG SUPL TUB PRO ABS LAY P/YD ANY W EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6597","description":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6597","description":"GRAD COMPR BDG ROLL ELAS LNG STR LIN YD ANY W EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6526","description":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6526","description":"GRAD COMPR GMT FULL LEG  and  FOOT PAD FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6527","description":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1513.237,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6527","description":"GRAD COMPR GMT FULL LEG  and  FT PAD NT USE CUSTM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1513.237,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6525","description":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6525","description":"GRAD COMPR GMT LW LEG  and FT PAD FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6524","description":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6524","description":"GRAD COMPR GMT LWR LEG  and  FT PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6605","description":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6605","description":"GRADIENT CMP BDG SUPL PAD FOAM P/YD ANY WIDTH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6523","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6523","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6522","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6522","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6520","description":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6520","description":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6521","description":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6521","description":"GRADIENT COMPR GMT GLV PADDED FOR NT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6528","description":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6528","description":"GRADIENT COMPRESS GRMNT BRA FOR NIGHTTIME USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6529","description":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6529","description":"GRADIENT COMPRESS GRMT BRA FOR NIGHT USE CUST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6585","description":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6585","description":"GRADIENT COMPRESS WRAP ADJ STRAPS ABOVE KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6583","description":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6583","description":"GRADIENT COMPRESS WRAP ADJ STRAPS BELOW KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6570","description":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6570","description":"GRADIENT COMPRESSION GARMENT GENITAL REGION EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6567","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6567","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD CUSTOM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6566","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6566","description":"GRADIENT COMPRESSION GARMENT NECK/HEAD EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6573","description":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6573","description":"GRADIENT COMPRESSION GARMENT TOE CAPS CUSTOM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6572","description":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6572","description":"GRADIENT COMPRESSION GARMENT TOE CAPS EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6568","description":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6568","description":"GRADIENT COMPRESSION GARMENT TORSO  and  SHOULDER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6571","description":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6571","description":"GRADIENT COMPRESSION GMT GENITAL REGION CUSTM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT NOS FOR DAYTIME USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6549","description":"GRADIENT COMPRESSION GMT NOS FOR DAYTIME USE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6569","description":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6569","description":"GRADIENT COMPRESSION GMT TORSO/SHOULDER CUSTM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6587","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6587","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FOOT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6586","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6586","description":"GRADIENT COMPRESSION WRAP ADJ STRAPS FULL LEG EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6588","description":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6588","description":"GRADIENT COMPRESSION WRAP WITH ADJ STRAPS ARM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVLEE JET WASHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4470","description":"GRAVLEE JET WASHER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1007","description":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1007","description":"GT or equal to 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8265","description":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8265","description":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3100","description":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0830","description":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3598.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0830","description":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3598.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0820","description":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2565.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0820","description":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2565.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0810","description":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2612.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0810","description":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2612.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3912","description":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3912","description":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3913","description":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3913","description":"HAND FINGER ORTHOTIC W/O JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3918","description":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3918","description":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3919","description":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3919","description":"HAND ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6905","description":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1981.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6905","description":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1981.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6910","description":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1626.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6910","description":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1626.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6900","description":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1965.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6900","description":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1965.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6915","description":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6915","description":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3930","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3930","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3929","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3929","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3923","description":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3923","description":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3924","description":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3924","description":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99001","description":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.348,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.102,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.102,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.771,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.771,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.249,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1052.249,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.31,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.31,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.575,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.575,"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":"2022","billing_code":"92634","description":"HEARING AID FITTING SERVICES 1ST 60 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.087,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.399,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.399,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.087,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5008","description":"HEARING SCREENING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER PLASTIC REINFORCED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3430","description":"HEEL COUNTER PLASTIC REINFORCED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER PLASTIC REINFORCED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3430","description":"HEEL COUNTER PLASTIC REINFORCED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0951","description":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0951","description":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL OR ELBOW PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0191","description":"HEEL OR ELBOW PROTECTOR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL OR ELBOW PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0191","description":"HEEL OR ELBOW PROTECTOR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3350","description":"HEEL WEDGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3350","description":"HEEL WEDGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE SACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3340","description":"HEEL WEDGE SACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE SACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3340","description":"HEEL WEDGE SACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5280","description":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6871.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5280","description":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6871.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL  LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3281F","description":"HEMOGLOBIN LEVEL  LT 11 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL  LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3281F","description":"HEMOGLOBIN LEVEL  LT 11 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to  13 G/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3921","description":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3921","description":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6452","description":"HI COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH MOUNT FLIP-UP FOOTREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0037","description":"HIGH MOUNT FLIP-UP FOOTREST EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH MOUNT FLIP-UP FOOTREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0037","description":"HIGH MOUNT FLIP-UP FOOTREST EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5250","description":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6478.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5250","description":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6478.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5270","description":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6940.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5270","description":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6940.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1685","description":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1685","description":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1686","description":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1686","description":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1660","description":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1660","description":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1680","description":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1680","description":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1650","description":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1650","description":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS BIL THI CUFF ADLT SZ PRFAB ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1652","description":"HIP ORTHOSIS BIL THI CUFF ADLT SZ PRFAB ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1640","description":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1640","description":"HIP ORTHOSIS-PELV BAND/SPRDR BAR THI CUFFS FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus  CELL COUNT  LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3502F","description":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3502F","description":"HIV RNA VIRAL LOAD  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT  LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2040","description":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2040","description":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2060","description":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2060","description":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2050","description":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2050","description":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2070","description":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2070","description":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2080","description":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2080","description":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2090","description":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2090","description":"HKAFO UNI TORSION CABLE BALL BEAR CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1630","description":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1630","description":"HO ABDUCT CONTROL OF HIP JNT SEMI-FLEX CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1652","description":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1652","description":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0498","description":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0498","description":"HOLSTER FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME BLOOD GLUCOSE MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0607","description":"HOME BLOOD GLUCOSE MONITOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME BLOOD GLUCOSE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0607","description":"HOME BLOOD GLUCOSE MONITOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9275","description":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9275","description":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT  LT 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99601","description":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT  LT 2 HR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99602","description":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0465","description":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8423.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0465","description":"HOME VENTILATOR ANY TYPE USED W/INVASIVE INTF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8423.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0466","description":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6664.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0466","description":"HOME VENTILATOR ANY TYPE USED W/NON-INVASV INTF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1203.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6664.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9249.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9249.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6871.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6871.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0562","description":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0562","description":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0561","description":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0561","description":"HUMDIFIR NON-HEATED USED W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6238","description":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6238","description":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6235","description":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6235","description":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6239","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ W/ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6237","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6237","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6246","description":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6246","description":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6243","description":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6243","description":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86328","description":"IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5410","description":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5410","description":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5460","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5460","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5450","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5450","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5420","description":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5420","description":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2062.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2062.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6388","description":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6388","description":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6386","description":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6386","description":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5400","description":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5400","description":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1372","description":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1372","description":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IG HUMAN IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90281","description":"IMMUNE GLOBULIN IG HUMAN IM USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4300","description":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE ACCESS TOTAL CATHETER PORT/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4301","description":"IMPLANTABLE ACCESS TOTAL CATHETER PORT/RESERVOIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8600","description":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8600","description":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0786","description":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6407.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8543.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0395","description":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9552","description":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9552","description":"INCIDENTAL THYROID NODULE  LT  1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4642","description":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1864.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4642","description":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1864.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLULAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2036","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLULAVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLUVIRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2037","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLUVIRIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLUZONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2038","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLUZONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.721,"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":[210047],"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":3.377,"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":[210047],"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":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.972,"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":[210047],"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":2.409,"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":[210047],"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":2.409,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"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":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0782","description":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3037.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4050.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0783","description":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6797.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9062.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5505","description":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5505","description":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5500","description":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5500","description":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"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"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0520","description":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0520","description":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"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":null,"billing_code":"L8603","description":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.22,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.22,"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":null,"billing_code":"L8606","description":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.581,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.683,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.683,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.784,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.784,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"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":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.087,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.087,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.056,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.056,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.199,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.199,"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":[210047],"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":3.663,"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":[210047],"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":3.663,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.272,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.272,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2338.204,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2338.204,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.977,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.796,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.796,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.29,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.29,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.599,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.259,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.586,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.586,"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":[210047],"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":1.485,"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":[210047],"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":1.485,"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":[210047],"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":48.763,"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":[210047],"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":48.763,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.091,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.091,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.881,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.881,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.774,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.774,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5259.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5293.541,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5259.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5293.541,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.094,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.094,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.865,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.865,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.0,"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":[210047],"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":4.202,"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":[210047],"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":4.202,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"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":"2022","billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.214,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.214,"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":[210047],"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":1.617,"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":[210047],"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":1.617,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1990","description":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1990","description":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROQUINE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0390","description":"INJECTION CHLOROQUINE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROQUINE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0390","description":"INJECTION CHLOROQUINE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.997,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.147,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.147,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.869,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.869,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.952,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.952,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"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":[210047],"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":19.712,"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":[210047],"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":19.712,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.533,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.533,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.438,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.438,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.002,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.002,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.361,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.376,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5683.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5683.689,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.407,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.407,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.788,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.788,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.492,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.153,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.153,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"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"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"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"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.931,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DYPHYLLINE UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1180","description":"INJECTION DYPHYLLINE UP TO 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DYPHYLLINE UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1180","description":"INJECTION DYPHYLLINE UP TO 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6713.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6830.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6713.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6830.648,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.6,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.6,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.605,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.605,"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":[210047],"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":7.942,"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":[210047],"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":7.942,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.176,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.176,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.909,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.909,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.936,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.522,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.43,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.928,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.928,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.381,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.381,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.455,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.455,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.419,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.069,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.841,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.841,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.705,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.705,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.719,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.719,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.959,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.959,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.229,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.229,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2978.657,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2978.657,"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":[210047],"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":19.921,"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":[210047],"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":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.068,"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":[210047],"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":39.292,"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":[210047],"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":39.292,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"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":[210047],"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":25.597,"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":[210047],"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":25.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.94,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.94,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.014,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.014,"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":[210047],"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":1.826,"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":[210047],"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":1.826,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"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 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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"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 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":[210047],"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":4.125,"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":[210047],"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":4.125,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.47,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.47,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"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 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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"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 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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.496,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.496,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"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":[210047],"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":1.485,"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":[210047],"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":1.485,"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":[210047],"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":4.895,"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":[210047],"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":4.895,"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":[210047],"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":9.614,"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":[210047],"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":9.614,"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":[210047],"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":3.795,"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":[210047],"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":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2320","description":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2320","description":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.012,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.982,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.982,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.612,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.612,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.135,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.135,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.392,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.392,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.621,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.757,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.472,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.482,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.375,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.375,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.617,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.617,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.229,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.229,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.2,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.2,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.988,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.988,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.616,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.616,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25655.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25655.3,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.621,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.621,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.291,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.291,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.367,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.367,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.8,"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":[210047],"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":1.837,"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":[210047],"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":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTIRELIN PER 250 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTIRELIN PER 250 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.288,"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":null,"billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.116,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.707,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3323.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3323.144,"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":[210047],"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":14.619,"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":[210047],"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":14.619,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.079,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[210047],"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":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[210047],"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":121.143,"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":[210047],"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":2.255,"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":[210047],"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":2.255,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.268,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.268,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"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":[210047],"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":3.256,"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":[210047],"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":3.256,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.224,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.224,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.394,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.394,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.338,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.338,"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"}]}]},{"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":[210047],"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":1.991,"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":[210047],"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":1.991,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"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"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"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"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORSEMIDE 10 MG/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3265","description":"INJECTION TORSEMIDE 10 MG/ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TORSEMIDE 10 MG/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3265","description":"INJECTION TORSEMIDE 10 MG/ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.943,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.943,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UREA UP TO 40 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3350","description":"INJECTION UREA UP TO 40 G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UREA UP TO 40 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3350","description":"INJECTION UREA UP TO 40 G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.506,"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":"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.506,"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":"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":[210047],"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.661,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8511","description":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8511","description":"INSRT INDWLL TRACHEOESOPH PROS W/WO VALV REPLCMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN  GT 12 WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN  GT 12 WK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN  GT 12 WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN  GT 12 WK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[210047],"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":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[210047],"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":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT LIMB COMPRESSION DEVICE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0676","description":"INTERMITTENT LIMB COMPRESSION DEVICE NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4352","description":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22841","description":"INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6350","description":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5285.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6350","description":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5285.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6975","description":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16174.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6975","description":"INTERSCAP-THOR OTTO BOCK/ Equal to MYOELEC CNTRL TERM DVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16174.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6970","description":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14761.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6970","description":"INTERSCAP-THOR OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14761.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6360","description":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6360","description":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6370","description":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6370","description":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRESS REDUCED  GT EQUAL 15 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"INTRAOCULAR PRESS REDUCED  GT EQUAL 15 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.7,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.7,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6570","description":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5364.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6570","description":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5364.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0529F","description":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0529F","description":"INTRVL 3 OR GT  YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3284F","description":"IO PRESSURE REDUCED  GT or equal to  15 PCT  PRE-INTERVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3285F","description":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3285F","description":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS SUPPORTED INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2631","description":"IRIS SUPPORTED INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4320","description":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4320","description":"IRRIGATION TRAY W/BULB/PISTON SYRINGE ANY PRPOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET  GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET  GT or equal to 3 HRS PRIOR ARR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SYMP ONSET  GT or equal to 3 HRS PRIOR ARR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET  LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE  LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE  LT 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7658","description":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7658","description":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7659","description":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7659","description":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV HANGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0105","description":"IV HANGER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV HANGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0105","description":"IV HANGER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV POLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0776","description":"IV POLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV POLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0776","description":"IV POLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS  LT or equal to  270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS  LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TUBING EXTENSION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1015","description":"IV TUBING EXTENSION SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Iv pole","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0776","description":"Iv pole","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5331","description":"JOINT SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6215.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5331","description":"JOINT SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6215.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2000","description":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2000","description":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.789,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2010","description":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2010","description":"KAFO 1 UPRT SOLID STIRUP W/O KNEE JNT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1159.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2005","description":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4063.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2005","description":"KAFO ANY MATL AUTO LOCK and SWNG RLSE W/ANK JNT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4063.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2020","description":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2020","description":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2030","description":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2030","description":"KAFO DBL UPRT SOLID STIRUP W/O KNEE JNT CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2134","description":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2134","description":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2136","description":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2136","description":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2132","description":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2132","description":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2126","description":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1137.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2126","description":"KAFO FEM FX CAST ORTHOSIS THERMOPLSTC CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1137.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC  MX-AXIS ANKLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2038","description":"KAFO FULL PLASTIC  MX-AXIS ANKLE CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1580.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC  MX-AXIS ANKLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2038","description":"KAFO FULL PLASTIC  MX-AXIS ANKLE CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1580.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC  SINGLE UPRIGHT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2037","description":"KAFO FULL PLASTIC  SINGLE UPRIGHT CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1875.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC  SINGLE UPRIGHT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2037","description":"KAFO FULL PLASTIC  SINGLE UPRIGHT CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1875.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2036","description":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2273.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2036","description":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2273.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2035","description":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2035","description":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2128","description":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2172.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2128","description":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2172.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2034","description":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2010.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2034","description":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2010.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5312","description":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4451.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5312","description":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4451.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5160","description":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5034.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5160","description":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5034.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5150","description":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4126.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5150","description":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4126.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1831","description":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1831","description":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1860","description":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1860","description":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1848","description":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1848","description":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1833","description":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1833","description":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1846","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1846","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1214.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1812","description":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1812","description":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1836","description":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1836","description":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1844","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1844","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1850","description":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1850","description":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1840","description":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1840","description":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1010.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1820","description":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1820","description":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST W/CONDYLR PADS and JNT PRFAB INCL FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1820","description":"KO ELAST W/CONDYLR PADS and JNT PRFAB INCL FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1834","description":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1834","description":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  GT or equal to  1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3084F","description":"KT/V  GT or equal to  1.7","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  GT or equal to  1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3084F","description":"KT/V  GT or equal to  1.7","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3082F","description":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3082F","description":"KT/V  LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2  and   LT 1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2  and   LT 1.7","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2  and   LT 1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2  and   LT 1.7","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGE SIZE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0041","description":"LARGE SIZE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGE SIZE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0041","description":"LARGE SIZE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0487","description":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0487","description":"LEADS FOR ANY TYPE ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.431,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  GT EQUAL 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION  GT EQUAL 40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION  GT or equal to  40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LEFT VENTRICULAR EJECTION FRACTION  LT  40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION  LT 40 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0158","description":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.973,"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"}]}]},{"negotiation_arrangement":"ffs","name":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0158","description":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.973,"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"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0038","description":"LEG STRAP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0038","description":"LEG STRAP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP H STYLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0039","description":"LEG STRAP H STYLE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP H STYLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0039","description":"LEG STRAP H STYLE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5113","description":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5113","description":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1710","description":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1887.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1710","description":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1887.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1755","description":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1755","description":"LEGG PERTHES ORTHOSIS PATTEN BOTTOM CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1504.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1730","description":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1730","description":"LEGG PERTHES ORTHOSIS SCOTTISH RITE CUSTOM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1700","description":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1700","description":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1560.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1720","description":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1720","description":"LEGG PERTHES ORTHOSIS TRILAT TACHDIJAN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1316.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8624","description":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8624","description":"LIB CI/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3310","description":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3310","description":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL PER INCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3334","description":"LIFT ELEVATION HEEL PER INCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3334","description":"LIFT ELEVATION HEEL PER INCH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED  AND  REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.468,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8623","description":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8623","description":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7367","description":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7367","description":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0972","description":"LSO CORSET FRONT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0972","description":"LSO CORSET FRONT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0976","description":"LSO FULL CORSET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0976","description":"LSO FULL CORSET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0648","description":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0648","description":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0643","description":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0643","description":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0650","description":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0650","description":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0649","description":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0649","description":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0651","description":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0651","description":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1008","description":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1008","description":"LT 50 PCT  OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6449","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  3  and   LT 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6450","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6450","description":"LT COMPRS BANDGE ELAST WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6448","description":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6448","description":"LT COMPRS BANDGE ELAST WDTH  LT  3 IN PER YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0642","description":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0642","description":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0641","description":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0641","description":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0628","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0628","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8395","description":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8395","description":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8694","description":"LVEF  LT or equal to  40 PCT  OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT  40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"LVEF LT  40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.432,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Large size footplate each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0041","description":"Large size footplate each","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leg strap each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0038","description":"Leg strap each","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leg strap h style each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0039","description":"Leg strap h style each","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lso corset front","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0972","description":"Lso corset front","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lso full corset","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0976","description":"Lso full corset","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lubricant per ounce","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"Lubricant per ounce","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE VACUUM ERECTION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7900","description":"MALE VACUUM ERECTION SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3551.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3551.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2204.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2204.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2205","description":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2205","description":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2203","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2203","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2204","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2204","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2202","description":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2202","description":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2206","description":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2206","description":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0959","description":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0959","description":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0974","description":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0974","description":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0966","description":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0966","description":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0961","description":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0961","description":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0992","description":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0992","description":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS FOAM RUBBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0272","description":"MATTRESS FOAM RUBBER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS FOAM RUBBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0272","description":"MATTRESS FOAM RUBBER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS INNER SPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0271","description":"MATTRESS INNER SPRING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS INNER SPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0271","description":"MATTRESS INNER SPRING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4325F","description":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4325F","description":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR INDUCTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2075","description":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0034","description":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0034","description":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0031","description":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0032","description":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0046","description":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3410","description":"METATARSAL BAR WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3410","description":"METATARSAL BAR WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE ROCKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3400","description":"METATARSAL BAR WEDGE ROCKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE ROCKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3400","description":"METATARSAL BAR WEDGE ROCKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHADONE ORAL 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0109","description":"METHADONE ORAL 5MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0481","description":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18833.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0481","description":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18833.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0482","description":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5899.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0482","description":"MICROPROCESSOR CU FOR ELEC/PNEUMAT VAD REPL ONL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5899.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6882","description":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3081.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6882","description":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3081.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0508","description":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4913","description":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4913","description":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SLD C TIRE I WHL SZ RPL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2222","description":"MNL WC AC SLD C TIRE I WHL SZ RPL E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SLD C TIRE I WHL SZ RPL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2222","description":"MNL WC AC SLD C TIRE I WHL SZ RPL E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2221","description":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2221","description":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2231","description":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2231","description":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2216","description":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2216","description":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2212","description":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2212","description":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2213","description":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2213","description":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS NONSTD SEAT WDTH  GT or equal to  20 IN  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2201","description":"MNL WC ACSS NONSTD SEAT WDTH  GT or equal to  20 IN  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS NONSTD SEAT WDTH  GT or equal to  20 IN  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2201","description":"MNL WC ACSS NONSTD SEAT WDTH  GT or equal to  20 IN  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.604,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2224","description":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2224","description":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2220","description":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2220","description":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2225","description":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2225","description":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0971","description":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0971","description":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2219","description":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2219","description":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2214","description":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2214","description":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2217","description":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2217","description":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2218","description":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2218","description":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2226","description":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2226","description":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2211","description":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2211","description":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2215","description":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2215","description":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0967","description":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0967","description":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0502","description":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0502","description":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6451","description":"MOD COMPRS BANDGE LOAD RESIST WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0486","description":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0486","description":"MON CNTRL CABLE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0485","description":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0485","description":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9279","description":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0484","description":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4719.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0484","description":"MONITOR FOR ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4719.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0483","description":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24301.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0483","description":"MONITOR/DISPLAY MODULE FOR ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24301.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8476","description":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8476","description":"MOST RECENT BP SYST  LT 140 MM HG  and  DIAS  LT 90 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG  and / DIAS G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES  GT EQUAL 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES  GT EQUAL 90 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES  GT or equal to  90 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  GT or equal to  90MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  80 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  LT  90MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  GT 9.0 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL  LT  7.0 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT  and  LT 8.0 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT  and  LT EQUAL TO 9","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  GT EQUAL 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C  GT EQUAL 130 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3050F","description":"MOST RECENT LDL-C  GT or equal to  130 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3048F","description":"MOST RECENT LDL-C  LT 100 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3048F","description":"MOST RECENT LDL-C  LT 100 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to  140 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  GT or equal to  140MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT  140MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  LT 130 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9790","description":"MOST RECNT BP IS  GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS  GT 140/90 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS  GT 140/90 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Mattress foam rubber","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0272","description":"Mattress foam rubber","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.426,"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":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.426,"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":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3620","description":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3493F","description":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3493F","description":"NO HIST NADIR CD4 Plus  CELL CNT  LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-SMALL CELL LUNG CANCER BX  AND  CYT SPEC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"NON-SMALL CELL LUNG CANCER BX  AND  CYT SPEC RPRT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONELASTIC BINDER FOR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4465","description":"NONELASTIC BINDER FOR EXTREMITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONELASTIC BINDER FOR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4465","description":"NONELASTIC BINDER FOR EXTREMITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0682","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0682","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":679.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0678","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0678","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0679","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0679","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0665","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[210047],"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":194.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0665","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[210047],"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":194.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0660","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.21,"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"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0660","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.21,"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"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0655","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.171,"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"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0655","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.171,"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"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0666","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0666","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4256","description":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4256","description":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX  AND  CY SPC NOT DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9425","description":"NSCLC BX  AND  CY SPC NOT DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING ASSESSMENT/EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1001","description":"NURSING ASSESSMENT/EVALUATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8120","description":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9128","description":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9128","description":"ONC;  LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9130","description":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9130","description":"ONC; LTD  MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9068","description":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9068","description":"ONC; STATUS; SC and  COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONDANSETRON ORAL 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0119","description":"ONDANSETRON ORAL 4 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTOKINETIC NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92534","description":"OPTOKINETIC NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.131,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3215","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3215","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3219","description":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3219","description":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2768","description":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2768","description":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0484","description":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0484","description":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4435","description":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4435","description":"OST POUCH DRAIN HI OP EXT WEAR BARR W/WO FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0749","description":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0747","description":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4959.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6018.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0747","description":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4959.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6018.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0760","description":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2691.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3588.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4968.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0760","description":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2691.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3588.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4968.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0748","description":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3238.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4318.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4927.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5979.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0748","description":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3238.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4318.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4927.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5979.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4387","description":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4387","description":"OSTOMY POUCH CLOSED W/BARR BUILT-IN CONVEXITY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5061","description":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5061","description":"OSTOMY POUCH DRAINABLE; W/BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4421","description":"OSTOMY SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1300","description":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1604.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1300","description":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1604.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1310","description":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1797.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1310","description":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1797.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0108","description":"OTHER ACCESSORIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.71,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1352","description":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1352","description":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"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":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.23,"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":"OXYGEN SATUR  LT EQUAL 88 PCT /PAO2  LT EQUAL 55 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR  LT EQUAL 88 PCT /PAO2  LT EQUAL 55 MM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3035F","description":"OXYGEN SATUR  LT or equal to  88 PCT /PAO2  LT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3037F","description":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3037F","description":"OXYGEN SATURATION  GT 88 PCT /PAO2  GT 55 MM HG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED  AND  REVIEWE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6407","description":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6407","description":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5020","description":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2285.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5020","description":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2285.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5000","description":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5000","description":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5010","description":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5010","description":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND LITTLE  AND  OR RING FINGER REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6010","description":"PARTIAL HAND LITTLE  AND  OR RING FINGER REMAINING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1995.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND NO FINGER REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6020","description":"PARTIAL HAND NO FINGER REMAINING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND THUMB REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6000","description":"PARTIAL HAND THUMB REMAINING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIA RAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD  AND  RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3267F","description":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3267F","description":"PATH RPRT INCLUDES PT  AND  PN CAT GLEASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9431","description":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9431","description":"PATH RPRT NO PT CAT  AND  STM THK ULCER  AND  MITOTIC RA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9428","description":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9428","description":"PATH RPRT PT CAT  AND  STM THK ULCER  AND  MITOTIC RATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9416","description":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9416","description":"PATIENT HAD 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR  AND  BRF COUNS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9417","description":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9417","description":"PATIENT NO 1 TET DT  and  TDAP ON/BTW PT 10  and  13 BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4194F","description":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4194F","description":"PATIENT RCVNG  Equal to  GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4193F","description":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4193F","description":"PATIENT RCVNG  LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9903","description":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9903","description":"PATIENT SCR TOBACCO USE  AND  ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9861","description":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9861","description":"PATIENT SPENT  GT  EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL  and  D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL  and  D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9408","description":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9408","description":"PATIENTS W/CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9409","description":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9409","description":"PATIENTS WO CT  and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4  PCT  BLW 15 P","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2882.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2882.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC BELT/HARNESS/BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0944","description":"PELVIC BELT/HARNESS/BOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC BELT/HARNESS/BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0944","description":"PELVIC BELT/HARNESS/BOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.927,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4330","description":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4330","description":"PERIANAL FECAL COLLECTION POUCH W/ADHESIVE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0120","description":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4263","description":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0980","description":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0980","description":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSAR RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSAR RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SRVC RQR TO EST  AND  DOC NEED PWR MOBIL DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0372","description":"PHYS SRVC RQR TO EST  AND  DOC NEED PWR MOBIL DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SRVC RQR TO EST  AND  DOC NEED PWR MOBIL DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0372","description":"PHYS SRVC RQR TO EST  AND  DOC NEED PWR MOBIL DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99288","description":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8990","description":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0153","description":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","negotiated_rates":[{"provider_references":[210047],"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":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0153","description":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","negotiated_rates":[{"provider_references":[210047],"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":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0154","description":"PLATFORM ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.975,"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"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0154","description":"PLATFORM ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.975,"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"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0269","description":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34839","description":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0650","description":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0650","description":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4370","description":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4370","description":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.159,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.159,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T5001","description":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99024","description":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0478","description":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0478","description":"POWER ADAPTER ELECTRIC/PNEUMAT VAD VEHICLE TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0504","description":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0504","description":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0479","description":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15518.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0479","description":"POWER MODULE ELECTRIC/PNEUMATIC VAD REPLACE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15518.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0489","description":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21067.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0489","description":"POWER PACK BASE FOR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21067.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2340","description":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2340","description":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2324","description":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2324","description":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHENSILE ACTUATOR SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7040","description":"PREHENSILE ACTUATOR SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3048.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHENSILE ACTUATOR SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7040","description":"PREHENSILE ACTUATOR SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3048.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"PREHTN/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP READING DOC  and  INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"PREHTN/HTN BP READING DOC  and  INDICATED F/U DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5580","description":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5580","description":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5585","description":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2921.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5585","description":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2921.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5590","description":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2557.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5590","description":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2557.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5560","description":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2187.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5560","description":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2187.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5570","description":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2301.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5570","description":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2301.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5535","description":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5535","description":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5510","description":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5510","description":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5540","description":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5540","description":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5520","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1455.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5520","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1455.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5530","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5530","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2461.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2461.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2103.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2103.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5600","description":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5758.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5600","description":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5758.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5595","description":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4568.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5595","description":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4568.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90889","description":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3562.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3562.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3282.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3282.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1823.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1823.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8499","description":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8499","description":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99402","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 30 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99403","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99404","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8417","description":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8417","description":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.912,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8415","description":"PROSTHETIC SHEATH UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8415","description":"PROSTHETIC SHEATH UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8460","description":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8460","description":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8440","description":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8440","description":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8465","description":"PROSTHETIC SHRINKER UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8465","description":"PROSTHETIC SHRINKER UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8430","description":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8430","description":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8420","description":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8420","description":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8435","description":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8435","description":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8480","description":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8480","description":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8470","description":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8470","description":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8485","description":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8485","description":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0984","description":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0984","description":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3268F","description":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3268F","description":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2620","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2620","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2621","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2621","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2613","description":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2613","description":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT  ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2614","description":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT  ANY HEIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT  ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2614","description":"PSTN WC BACK CUSHN POST WIDTH 22 IN OR GT  ANY HEIGHT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2615","description":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2615","description":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2616","description":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2616","description":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2605","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2605","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2606","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2606","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT 85 YEARS OF AGE WHO RECV ROUTINE COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT  GT 85 YEARS OF AGE WHO RECV ROUTINE COLONOSCOPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9659","description":"PT  GT or equal to  TO 86 YOA SCR COL  and  NO HX CRC/OTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9661","description":"PT  GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC  and  1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8721","description":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8721","description":"PT CATEGORY PN CATEGORY  AND  HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4320F","description":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4320F","description":"PT COUNSEL PSYCHSOC  AND  PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9  and  13 BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9445","description":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9446","description":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4305F","description":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4305F","description":"PT EDUC FOOT CARE  AND  DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT  FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9519","description":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9519","description":"PT FINAL REFR  Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH  and  13TH BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH  and  13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH  and  13TH BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH  and 13TH BD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9395","description":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9395","description":"PT INIT PHQ-9 SC  GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9396","description":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9396","description":"PT INIT PHQ-9 SC  GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC  LT 5","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD BY EVAL CLINICIAN  LT DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD BY EVAL CLINICIAN  LT DATE DIAG MDD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1646.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1646.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH  and  13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH  and  13TH BDAY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9457","description":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9457","description":"PT NO ABD IMAG  AND  NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9520","description":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9520","description":"PT NO F REFR  Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8567","description":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8567","description":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER  STATIN TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9468","description":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9468","description":"PT NOT REC CS  GT or equal to  TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9470","description":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9470","description":"PT NOT RECV CS  GT or equal to  10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4168F","description":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4168F","description":"PT RCVG CARE ICU  and  RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER  LT  3 MONTHS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX  LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9764","description":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9764","description":"PT TREATED W  SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL  and / D/C","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0802","description":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3037.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0802","description":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3037.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0807","description":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1997.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2322.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0807","description":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1997.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2322.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0806","description":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0806","description":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0808","description":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3091.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3589.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0808","description":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3091.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3589.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2359","description":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2359","description":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3475.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3475.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2360","description":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2360","description":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2361","description":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2361","description":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2405.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2405.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2652.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2652.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5032.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5032.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2342","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2342","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2343","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2343","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2341","description":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2341","description":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2323","description":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2323","description":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1363.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1363.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4513.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6430.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4513.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6430.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5785.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8206.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5785.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8206.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6122.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8698.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6122.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8698.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7326.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8682.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7326.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8682.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6433.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7624.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6433.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7624.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7942.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9411.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7942.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9411.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6691.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7929.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6691.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7929.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6315.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7484.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6315.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7484.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6191.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7337.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6191.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7337.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5546.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6572.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5546.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6572.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6201.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7349.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6201.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7349.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5768.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6836.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5768.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6836.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7731.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7731.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10521.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12468.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10521.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12468.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11778.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9939.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11778.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9939.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDCS/EXP TM  and  NO FLUORO IMG N DOC N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDCS/EXP TM  and  NO FLUORO IMG N DOC N RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES/EXP TM  and  NUMB FLUORO IMAGES DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES/EXP TM  and  NUMB FLUORO IMAGES DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV COMPLEX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV  Equal to  GT  COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY 1 MEV  Equal to  GT  COMPLEX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATCHET ASSEMBLY REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0050","description":"RATCHET ASSEMBLY REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATCHET ASSEMBLY REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0050","description":"RATCHET ASSEMBLY REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0069","description":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0069","description":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.236,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4220","description":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4220","description":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC/OTH RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC/OTH RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4205","description":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4205","description":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4210","description":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7520","description":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7520","description":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.911,"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":null,"billing_code":"V5014","description":"REPAIR/MODIFICATION OF A HEARING AID","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.05,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4602","description":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4602","description":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.61,"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":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.61,"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":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0604","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0604","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0605","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0605","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0602","description":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0602","description":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0607","description":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0607","description":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0601","description":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0601","description":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2619","description":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2619","description":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL ELEC W/AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0609","description":"REPL ELEC W/AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL ELEC W/AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0609","description":"REPL ELEC W/AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6884","description":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2834.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6884","description":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2834.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6883","description":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2074.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6883","description":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2074.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6885","description":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6885","description":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5701","description":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5701","description":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4000","description":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4000","description":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4060","description":"REPLACE HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4060","description":"REPLACE HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4100","description":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4100","description":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4110","description":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4110","description":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4080","description":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4080","description":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4090","description":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4090","description":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4050","description":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4050","description":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.549,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4040","description":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4040","description":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4055","description":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4055","description":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4045","description":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4045","description":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PRETIBIAL SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4130","description":"REPLACE PRETIBIAL SHELL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PRETIBIAL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4130","description":"REPLACE PRETIBIAL SHELL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4070","description":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4070","description":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4020","description":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4020","description":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4030","description":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4030","description":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.726,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE TRILATERAL SOCKET BRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4010","description":"REPLACE TRILATERAL SOCKET BRIM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE TRILATERAL SOCKET BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4010","description":"REPLACE TRILATERAL SOCKET BRIM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GARMENT USE W/AUTO EXTERNAL DEFIB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0608","description":"REPLACEMENT GARMENT USE W/AUTO EXTERNAL DEFIB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GARMENT USE W/AUTO EXTERNAL DEFIB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0608","description":"REPLACEMENT GARMENT USE W/AUTO EXTERNAL DEFIB EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5700","description":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3695.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5700","description":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3695.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[210047],"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":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[210047],"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":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5702","description":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5377.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5702","description":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5377.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0739","description":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.131,"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":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0739","description":"REPR/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.131,"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":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR  NO RSN GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  Equal to 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0501","description":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1824.042,"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":2605.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1824.042,"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":2605.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESUSCITATION BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8999","description":"RESUSCITATION BAG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESUSCITATION BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8999","description":"RESUSCITATION BAG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC  Equal to 0 /  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC  Equal to 0 /  GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE  Equal to 0 /  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE  Equal to 0 /  GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  Equal to 0 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  Equal to 0 OR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE  Equal to 0/  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE  Equal to 0/  GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC  LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC  LT 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0630","description":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED  and  SCORE  Equal to  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL  and  SCORE  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8648","description":"RS KNEE IMPR SUC CAL  and  SCR  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8647","description":"RS KNEE IMPR SUC CALC  and  SCORE WAS  Equal to  0 OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC  and  SC  LT  0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90381","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0622","description":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0622","description":"SACROILIAC ORTHOSIS FLEXIBLE CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0623","description":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0623","description":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY VEST WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0980","description":"SAFETY VEST WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY VEST WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0980","description":"SAFETY VEST WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALES TAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9999","description":"SALES TAX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.89,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8431","description":"SCR CLIN DEPR DOC POS  and  F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT ATTACHMENT WALKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0156","description":"SEAT ATTACHMENT WALKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT ATTACHMENT WALKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0156","description":"SEAT ATTACHMENT WALKER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0056","description":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0056","description":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6455","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6455","description":"SELF-ADHERENT BANDGE WDTH  GT or equal to  5 IN PER YARD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR  AND  LIPID PR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED IN AN URGENT CARE CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9088","description":"SERVICES PROVIDED IN AN URGENT CARE CENTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3978","description":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3978","description":"SEWHFO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3976","description":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3976","description":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3977","description":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3977","description":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB ELASTIC BAND","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3975","description":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3975","description":"SEWHFO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3960","description":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3960","description":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3962","description":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3962","description":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3973","description":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3973","description":"SEWHO ABDUCT PSTN THOR CMPNT AND SUPP BAR CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3967","description":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3967","description":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1790.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3971","description":"SEWHO SHOULDER CAP DESIGN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3971","description":"SEWHO SHOULDER CAP DESIGN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1699.379,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3961","description":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3961","description":"SEWHO SHOULDER CAP DESIGN W/O JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2062.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2062.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6300","description":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4703.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6300","description":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4703.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13165.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13165.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6550","description":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4812.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6550","description":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4812.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1015","description":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1015","description":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1016","description":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1016","description":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6320","description":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1729.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6320","description":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1729.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6310","description":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3903.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6310","description":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3903.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3674","description":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3674","description":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3670","description":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3670","description":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3671","description":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3671","description":"SHOULDER ORTHOSIS JOINT DESIGN W/O JNTS CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6965","description":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14867.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6965","description":"SHOULDR DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14867.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0501","description":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0501","description":"SHOWER COVER ELEC OR ELEC/PNEUMAT VAD REPL ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.892,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5341","description":"SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6487.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5341","description":"SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6487.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIX VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7360","description":"SIX VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIX VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7360","description":"SIX VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5121","description":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5121","description":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5122","description":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5122","description":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2623","description":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2623","description":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2624","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2624","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2625","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2625","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2622","description":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2622","description":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6250","description":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2608","description":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2608","description":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2607","description":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2607","description":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2604","description":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2604","description":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2603","description":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2603","description":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0621","description":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0621","description":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1031F","description":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1031F","description":"SMOKING  AND  2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE OUTSIDE SOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3360","description":"SOLE WEDGE OUTSIDE SOLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE OUTSIDE SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3360","description":"SOLE WEDGE OUTSIDE SOLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP RSLT DEMST FEV1/FVC  LT 70 PCT  FEV  LT 60 PCT  P  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SP RSLT DEMST FEV1/FVC  LT 70 PCT  FEV  LT 60 PCT  P  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1858.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2504","description":"SPCH GEN DEVC DIGTIZD GT 20 MINS LT or equal to 40 MINS RE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1858.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1837.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1837.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10402.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10402.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5496.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5496.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6252","description":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6252","description":"SPCLTY ABSORB DRESS  GT 16  LT or equal to 48 SQ W/O ADHES","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99080","description":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1227","description":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1227","description":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1297","description":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1297","description":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1298","description":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1298","description":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2500","description":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2500","description":"SPEECH GEN DEVC DIGITIZED  LT or equal to  8 MINS REC TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3554.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3554.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC  LT  70 PCT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC  GT or equal to 70 PCT  W/","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC  LT 70 PCT  W/COPD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKE PROTECTORS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0065","description":"SPOKE PROTECTORS EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKE PROTECTORS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0065","description":"SPOKE PROTECTORS EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.371,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRING-POWERED DEVICE FOR LANCET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4258","description":"SPRING-POWERED DEVICE FOR LANCET EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRING-POWERED DEVICE FOR LANCET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4258","description":"SPRING-POWERED DEVICE FOR LANCET EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0042","description":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0042","description":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1902.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1902.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4396","description":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4396","description":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4397","description":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4397","description":"STATIC/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERILE WATER/SALINE 500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4217","description":"STERILE WATER/SALINE 500 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERILE WATER/SALINE 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4217","description":"STERILE WATER/SALINE 500 ML","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0982","description":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0982","description":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5055","description":"STOMA CAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5055","description":"STOMA CAP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.311,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4221","description":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4221","description":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4211","description":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99070","description":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT/SHOE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3260","description":"SURGICAL BOOT/SHOE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4461","description":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4461","description":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4463","description":"SURGICAL DRESSING HOLDER REUSABLE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL DRESSING HOLDER REUSABLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4463","description":"SURGICAL DRESSING HOLDER REUSABLE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4649","description":"SURGICAL SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL TRAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4550","description":"SURGICAL TRAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99058","description":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99051","description":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0052","description":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0052","description":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98015","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98011","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98007","description":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98003","description":"SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"Slings","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1003","description":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1003","description":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCRNG DONE INTRPD  LT 6 MOS START RA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCRNG DONE INTRPD  LT 6 MOS START RA THXPY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4262","description":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENS DEVICE 4/MORE LEADS MULTI NERVE STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0730","description":"TENS DEVICE 4/MORE LEADS MULTI NERVE STIMULATION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1005","description":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3173.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1005","description":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3173.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6714","description":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6714","description":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6722","description":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2014.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6722","description":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2014.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6721","description":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2336.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6721","description":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2336.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6713","description":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6713","description":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6712","description":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6712","description":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6711","description":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6711","description":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6709","description":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6709","description":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6708","description":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6708","description":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6707","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6707","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6706","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6706","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6703","description":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6703","description":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6704","description":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6704","description":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC RIB BELT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0220","description":"THORACIC RIB BELT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC RIB BELT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0220","description":"THORACIC RIB BELT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN  GT 12WKS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4174F","description":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4174F","description":"TLK VIS FXN  and  QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0970","description":"TLSO CORSET FRONT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0970","description":"TLSO CORSET FRONT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0974","description":"TLSO FULL CORSET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0974","description":"TLSO FULL CORSET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1200","description":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1200","description":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0467","description":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0467","description":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0469","description":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0469","description":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1791.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1791.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1033F","description":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1033F","description":"TOBACCO NON-SMOKER  AND  NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOE LOOP/HOLDER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0952","description":"TOE LOOP/HOLDER ANY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOE LOOP/HOLDER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0952","description":"TOE LOOP/HOLDER ANY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL APPLICATION OF FLUORIDE VARNISH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1206","description":"TOPICAL APPLICATION OF FLUORIDE VARNISH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9522","description":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9522","description":"TOT #ED VISITS  and  IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.102,"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":null,"billing_code":"L8509","description":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.587,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.094,"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":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.094,"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":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210047],"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":9.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210047],"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":9.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[210047],"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":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[210047],"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":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SPEAKING VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8501","description":"TRACHEOSTOMY SPEAKING VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SPEAKING VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8501","description":"TRACHEOSTOMY SPEAKING VALVE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[210047],"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":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[210047],"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":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQUIPMENT OVERDOOR CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0860","description":"TRACTION EQUIPMENT OVERDOOR CERVICAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.4,"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":"TRACTION EQUIPMENT OVERDOOR CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0860","description":"TRACTION EQUIPMENT OVERDOOR CERVICAL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.4,"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":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0890","description":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0890","description":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0870","description":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","negotiated_rates":[{"provider_references":[210047],"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":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0870","description":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","negotiated_rates":[{"provider_references":[210047],"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":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0840","description":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"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":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0840","description":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"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":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0880","description":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0880","description":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0850","description":"TRACTION STAND FREESTANDING CERVICAL TRACTION","negotiated_rates":[{"provider_references":[210047],"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":161.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0850","description":"TRACTION STAND FREESTANDING CERVICAL TRACTION","negotiated_rates":[{"provider_references":[210047],"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":161.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0900","description":"TRACTION STAND FREESTANDING PELVIC TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0900","description":"TRACTION STAND FREESTANDING PELVIC TRACTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3620","description":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3620","description":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSER DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0705","description":"TRANSER DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSER DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0705","description":"TRANSER DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9277","description":"TRANSMITTER; EXT  USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":null,"billing_code":"L8629","description":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.938,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.938,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.763,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6259","description":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6259","description":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"R0076","description":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"L8618","description":"TRNSMT CBL USE CI DEVC/AUD OSSEOINTG DEVC REPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.78,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6258","description":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6258","description":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8330","description":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8330","description":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD WATER PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8320","description":"TRUSS ADDITION TO STANDARD PAD WATER PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD WATER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8320","description":"TRUSS ADDITION TO STANDARD PAD WATER PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS DOUBLE WITH STANDARD PADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8310","description":"TRUSS DOUBLE WITH STANDARD PADS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS DOUBLE WITH STANDARD PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8310","description":"TRUSS DOUBLE WITH STANDARD PADS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS SINGLE WITH STANDARD PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8300","description":"TRUSS SINGLE WITH STANDARD PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS SINGLE WITH STANDARD PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8300","description":"TRUSS SINGLE WITH STANDARD PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6457","description":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6457","description":"TUBULAR DRSG W/WO ELASTIC ANY WDTH PER LINEAR YD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWELVE VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7364","description":"TWELVE VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWELVE VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7364","description":"TWELVE VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tlso full corset","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0974","description":"Tlso full corset","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRALIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0005","description":"ULTRALIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRALIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0005","description":"ULTRALIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.816,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MOLECULAR PATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81479","description":"UNLISTED MOLECULAR PATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"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":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6677","description":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6677","description":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6638","description":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2484.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6638","description":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2484.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6646","description":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3133.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6646","description":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3133.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6623","description":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6623","description":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6616","description":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6616","description":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6647","description":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6647","description":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6648","description":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3232.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6648","description":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3232.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6680","description":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6680","description":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3980","description":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3980","description":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3984","description":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3984","description":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6621","description":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2272.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6621","description":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2272.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6687","description":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6687","description":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6688","description":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6688","description":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6628","description":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6628","description":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6629","description":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6629","description":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6684","description":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6684","description":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3982","description":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3982","description":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6620","description":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6620","description":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6692","description":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6692","description":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6615","description":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6615","description":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6642","description":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6642","description":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6641","description":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6641","description":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6690","description":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6690","description":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6689","description":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6689","description":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6672","description":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6672","description":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6693","description":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2820.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6693","description":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2820.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6625","description":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6625","description":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6655","description":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6655","description":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6682","description":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6682","description":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6660","description":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6660","description":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6632","description":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6632","description":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6645","description":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6645","description":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6650","description":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6650","description":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SILCON GEL INSERT/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6692","description":"UPPER EXTREM ADDITION SILCON GEL INSERT/EQUAL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6630","description":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6630","description":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6665","description":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6665","description":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6610","description":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6610","description":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6624","description":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3742.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6624","description":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3742.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6676","description":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6676","description":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6675","description":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6675","description":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6640","description":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6640","description":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6605","description":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6605","description":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6670","description":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6670","description":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6635","description":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6635","description":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6637","description":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6637","description":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6691","description":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6691","description":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6686","description":"UPPER EXTREMITY ADDITION SUCTION SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6686","description":"UPPER EXTREMITY ADDITION SUCTION SOCKET","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6600","description":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6600","description":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3981","description":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3981","description":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4334","description":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4334","description":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultralightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0005","description":"Ultralightweight wheelchair","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VABRA ASPIRATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4480","description":"VABRA ASPIRATOR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7048","description":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7048","description":"VACUUM DRAINAGE COLLECTION UNIT  AND  TUBING KIT EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8565","description":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8565","description":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9090","description":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0545","description":"VISIT COMPLEXITY INHERENT TO HOS INPT/OBS CARE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4387","description":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4387","description":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4360","description":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4360","description":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4361","description":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4361","description":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0973","description":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0973","description":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1012","description":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1012","description":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0956","description":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0956","description":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0957","description":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0957","description":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4944.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4944.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4459.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4459.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5351.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5351.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6555.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6555.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8876.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8876.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8877.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8877.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0960","description":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0960","description":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2895.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2895.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3209.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3209.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3325.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3325.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0953","description":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0953","description":"WHEELCHAIR AC LAT THIGH/KNEE SUPP ANY TYPE EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC PWR SEAT ELEVATION SYS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2300","description":"WHEELCHAIR ACC PWR SEAT ELEVATION SYS ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0982","description":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0982","description":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2210","description":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2210","description":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0990","description":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0990","description":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4115.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4115.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0981","description":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0981","description":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0995","description":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0995","description":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2207","description":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2207","description":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2208","description":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2208","description":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0954","description":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0954","description":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY TRAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0950","description":"WHEELCHAIR ACCESSORY TRAY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY TRAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0950","description":"WHEELCHAIR ACCESSORY TRAY EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO CUSTOM FABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3806","description":"WHFO CUSTOM FABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO CUSTOM FABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3806","description":"WHFO CUSTOM FABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3901","description":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1673.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3901","description":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1673.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3900","description":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3900","description":"WHFO DYN FLEXOR HINGE WRST/FNGR DRIVEN CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.847,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3904","description":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2722.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3904","description":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2722.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0155","description":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0155","description":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1226","description":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1226","description":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0978","description":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0978","description":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2787.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2787.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3905","description":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3905","description":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3906","description":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3906","description":"WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6262","description":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3808","description":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3808","description":"WRIST HAND FINGER ORTHOSIS RIGID W/O JNT; CUSTOM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3809","description":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3809","description":"WRIST HAND FINGER W/O JOINT PREFAB ANY TYPE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3916","description":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3916","description":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6050","description":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2197.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6050","description":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2197.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6055","description":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3281.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6055","description":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3281.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8613.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8613.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7875.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7875.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6456","description":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6456","description":"ZINC PASTE IMPREGNTD BANDGE WDTH  GT or equal to  3  and","negotiated_rates":[{"provider_references":[210047],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}